How much rates vary
Facilitymedian $1,023 · 10th to 90th $120 to $5,012Professionalmedian $129 · 10th to 90th $105 to $324
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $120.23 Median $281.84 Typical High $3,467.37 | Facility | None | $120.23 | $281.84 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $100.00 | $120.23 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $51.29 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $69.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $36.31 | $43.65 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Facility Modifier TC · Technical part Typical Low $1,096.48 Median $1,348.96 Typical High $5,011.87 | Facility | TC · Technical part | $1,096.48 | $1,348.96 | $5,011.87 |
Capital Blue Cross Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $323.59 | Professional | None (both parts) | $114.82 | $120.23 | $323.59 |
Capital Blue Cross Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $54.95 | $112.20 |
Capital Blue Cross Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $64.57 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $218.78 Typical High $4,073.80 | Facility | None | $83.18 | $218.78 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $173.78 Typical High $416.87 | Professional | None (both parts) | $95.50 | $173.78 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $57.54 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $104.71 Typical High $302.00 | Professional | TC · Technical part | $52.48 | $104.71 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $141.25 | $165.96 | $213.80 |
Geisinger Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Geisinger Setting Professional Modifier None (both parts) Typical Low $123.03 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $123.03 | $251.19 | $537.03 |
Geisinger Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $63.10 | $114.82 |
Geisinger Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $154.88 Typical High $478.63 | Professional | TC · Technical part | $66.07 | $154.88 | $478.63 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Martin's Point Setting Facility Modifier None Typical Low $120.23 Median $281.84 Typical High $3,981.07 | Facility | None | $120.23 | $281.84 | $3,981.07 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $100.00 | $120.23 | $208.93 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $57.54 | Professional | 26 · Professional part | $44.67 | $51.29 | $57.54 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $158.49 | Professional | TC · Technical part | $54.95 | $69.18 | $158.49 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $588.84 Typical High $724.44 | Professional | None (both parts) | $138.04 | $588.84 | $724.44 |
UPMC Health Plan Setting Facility Modifier None Typical Low $114.82 Median $1,230.27 Typical High $2,041.74 | Facility | None | $114.82 | $1,230.27 | $2,041.74 |
UPMC Health Plan Setting Professional Modifier None (both parts) Typical Low $114.82 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $114.82 | $524.81 | $524.81 |
UPMC Health Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $91.20 | $91.20 |
UPMC Health Plan Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $63.10 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $5,370.32 | Facility | None | $2,187.76 | $4,570.88 | $5,370.32 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $478.63 | Professional | None (both parts) | $114.82 | $151.36 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $56.23 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $346.74 | Professional | TC · Technical part | $64.57 | $83.18 | $346.74 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $23.44 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $93.33 Typical High $95.50 | Professional | FX · Film X-ray | $79.43 | $93.33 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $57.54 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $57.54 | $60.26 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $19.95 | $23.44 | $23.99 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $93.33 Typical High $95.50 | Professional | FX · Film X-ray | $79.43 | $93.33 | $95.50 |
Where Pennsylvania sits
The same service costs 4.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Pennsylvania· 45th of 51
$132
AK $363UT $75.86
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.